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Constriction Band Syndrome. 收缩带综合征。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-08-18 eCollection Date: 2026-08-01 DOI: 10.1055/a-2913-8846
Nicole L Wire, Kala T Pham, Linden Shih, Jenny Lee Nguyen
{"title":"Constriction Band Syndrome.","authors":"Nicole L Wire, Kala T Pham, Linden Shih, Jenny Lee Nguyen","doi":"10.1055/a-2913-8846","DOIUrl":"https://doi.org/10.1055/a-2913-8846","url":null,"abstract":"<p><p>Constriction band syndrome is a rare congenital deformity that occurs in 0.5 to 1.1 per 10,000 births and presents as a range of malformations from constriction bands to autoamputation. The etiology of constriction band syndrome is incompletely understood, but the leading theory suggests that partial rupture of the inner amnion prior to fusion with the outer chorion creates fibrous chorionic bands that constrict fetal parts. Given the heterogeneity of malformations, a comprehensive physical examination is essential for accurate diagnosis. Depending on the severity of the constriction band, surgical intervention can range from simple excision of constriction bands to on-top-plasties in cases of digit deficiencies. Importantly, each patient should receive an individualized approach based on their anatomy, which considers the urgency of constriction band release, preservation of the neurovascular structures, viability of the distal body part, and maximization of functionality. With these goals in mind, surgical management of constriction band syndrome regardless of presentation can greatly improve function and cosmesis in affected children.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"253-260"},"PeriodicalIF":1.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Syndactyly. 并指。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-08-18 eCollection Date: 2026-08-01 DOI: 10.1055/a-2918-9336
Josephine L Schmidt, Shreya Jain, Sofia C Perez-Otero, Jenny Lee Nguyen
{"title":"Syndactyly.","authors":"Josephine L Schmidt, Shreya Jain, Sofia C Perez-Otero, Jenny Lee Nguyen","doi":"10.1055/a-2918-9336","DOIUrl":"https://doi.org/10.1055/a-2918-9336","url":null,"abstract":"<p><p>Syndactyly is a common congenital limb malformation caused by failure of formation or differentiation of an unspecified axis of the hand plate. Syndactyly has a wide range of phenotypes and is classified based on the structures involved, the length of the digit involved, and whether it occurs in isolation or within the setting of a syndrome. Surgery is the mainstay of treatment with the primary goal of restoring form and function by creating an adequate web space and providing sufficient skin coverage after digit separation. Skin flaps with or without the use of skin grafts are the primary techniques utilized for syndactyly repair with a multitude of skin flap designs described in the literature. This chapter provides an overview of the etiology, classification, and management of syndactyly, including surgical techniques, special considerations, outcomes, and long-term management.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"203-209"},"PeriodicalIF":1.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thumb Hypoplasia. 拇指发育不全。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-07-23 eCollection Date: 2026-08-01 DOI: 10.1055/a-2905-4693
Julian J Gonzales, Tappan L O'Reilly, Samuel P Griffin, Vamsi C Mohan, Heather R Burns, Jenny L Nguyen, William C Pederson
{"title":"Thumb Hypoplasia.","authors":"Julian J Gonzales, Tappan L O'Reilly, Samuel P Griffin, Vamsi C Mohan, Heather R Burns, Jenny L Nguyen, William C Pederson","doi":"10.1055/a-2905-4693","DOIUrl":"https://doi.org/10.1055/a-2905-4693","url":null,"abstract":"<p><p>Thumb hypoplasia is a congenital malformation resulting from disruption in upper limb development and may present as an isolated anomaly or as part of radial longitudinal deficiency. The condition encompasses a wide spectrum of anatomic and functional deficiencies, ranging from minor size reduction of the thumb to its complete absence. Proper management requires an understanding of limb embryology, accurate classification, and thorough evaluation for associated anomalies and syndromes. The Blauth classification system remains the cornerstone for guiding treatment decisions, with management strategies tailored to the stability of the carpometacarpal joint and overall thumb function. Treatment options include observation, soft tissue reconstruction with opponensplasty and ligament stabilization, or thumb ablation with index finger pollicization. Outcomes vary based on the severity of hypoplasia, associated conditions, and surgical approach, with pollicization offering favorable restoration in advanced deficiency. This article reviews the classification, evaluation, management, and outcomes of thumb hypoplasia.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"216-222"},"PeriodicalIF":1.4,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Other Thumb Deformities. 其他拇指畸形。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-07-23 eCollection Date: 2026-08-01 DOI: 10.1055/a-2905-4866
Diego M Quirarte, Lance He, Matthew J Parham, Jenny Lee Nguyen, William C Pederson
{"title":"Other Thumb Deformities.","authors":"Diego M Quirarte, Lance He, Matthew J Parham, Jenny Lee Nguyen, William C Pederson","doi":"10.1055/a-2905-4866","DOIUrl":"https://doi.org/10.1055/a-2905-4866","url":null,"abstract":"<p><p>The thumb accounts for approximately 40% of overall hand function, and deformities carry significant implications for pediatric hand development and quality of life. This article reviews three distinct congenital and acquired thumb deformities: pediatric trigger thumb, triphalangeal thumb, and congenital clasped thumb. Pediatric trigger thumb, an acquired condition resulting from a size mismatch between the flexor pollicis longus tendon and the A1 pulley, is staged using the Sugimoto classification and can resolve spontaneously, though surgical release of the A1 pulley reliably restores full range of motion in refractory cases. Triphalangeal thumb presents across a wide spectrum from a single extra phalanx to a five-fingered hand with absent thenar musculature and is classified by the morphology of the extra phalanx to guide surgical reconstruction. Congenital clasped thumb, a flexion-adduction deformity caused by hypoplasia or absence of the thumb extensors, can be categorized by either Tsuyuguchi's system or Mih's modification of McCarroll's system and managed initially with splinting. Surgical reconstruction is reserved for resistant or complex cases. Accurate diagnosis and classification of each condition are essential, as the natural history, associated systemic anomalies, and response to conservative versus operative intervention differ considerably across deformities.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"223-228"},"PeriodicalIF":1.4,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Upper Extremity Embryology. 上肢胚胎学。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-07-22 eCollection Date: 2026-08-01 DOI: 10.1055/a-2905-9088
Josephine L Schmidt, Diego M Quirarte, Olivia G Leonovicz, Jenny Lee Nguyen
{"title":"Upper Extremity Embryology.","authors":"Josephine L Schmidt, Diego M Quirarte, Olivia G Leonovicz, Jenny Lee Nguyen","doi":"10.1055/a-2905-9088","DOIUrl":"https://doi.org/10.1055/a-2905-9088","url":null,"abstract":"<p><p>The development of the upper extremity begins early in embryogenesis, with the upper extremity fully formed by week 8 of gestation. This process relies on a complex cascade of molecular interactions-a single abnormality of which can result in congenital anomalies. Hand surgeons have the opportunity to significantly improve the quality of life of patients with congenital anomalies and require a thorough understanding of the underlying embryological processes resulting in these anomalies. This chapter provides an overview of the stages of upper extremity development, the molecular mechanisms of upper extremity embryogenesis, and the congenital anomalies that can result from abnormalities of various stages of this process.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"196-202"},"PeriodicalIF":1.4,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital Pediatric Hand Surgery. 先天性小儿手外科。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-07-21 eCollection Date: 2026-08-01 DOI: 10.1055/a-2905-9518
Jenny Lee Nguyen
{"title":"Congenital Pediatric Hand Surgery.","authors":"Jenny Lee Nguyen","doi":"10.1055/a-2905-9518","DOIUrl":"https://doi.org/10.1055/a-2905-9518","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"194-195"},"PeriodicalIF":1.4,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Jenny Lee Nguyen, MD, FAAP. Jenny Lee Nguyen，医学博士，FAAP。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-07-15 eCollection Date: 2026-08-01 DOI: 10.1055/a-2905-9293
Larry H Hollier
{"title":"Jenny Lee Nguyen, MD, FAAP.","authors":"Larry H Hollier","doi":"10.1055/a-2905-9293","DOIUrl":"https://doi.org/10.1055/a-2905-9293","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"193"},"PeriodicalIF":1.4,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Hand Therapy. 小儿手部疗法。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-07-03 eCollection Date: 2026-08-01 DOI: 10.1055/a-2880-1148
Diego M Quirarte, Josephine L Schmidt, John D Bovill, Salma Hooshmand, Anh Nguyen, Nicole M Schrenk, Jenny L Nguyen, James H Northcutt
{"title":"Pediatric Hand Therapy.","authors":"Diego M Quirarte, Josephine L Schmidt, John D Bovill, Salma Hooshmand, Anh Nguyen, Nicole M Schrenk, Jenny L Nguyen, James H Northcutt","doi":"10.1055/a-2880-1148","DOIUrl":"https://doi.org/10.1055/a-2880-1148","url":null,"abstract":"<p><p>Congenital upper limb differences present children and families with a complex, evolving medical landscape that demands coordinated guidance across development. This article presents a wayfinding model to conceptualize the collaborative roles of surgeons, therapists, and families across the care of pediatric hand therapy. Hand surgeons serve as cartographers, synthesizing anatomical knowledge and surgical planning into individualized roadmaps. Therapists function as expert wayfinders who translate surgical intent into clinical practice through orthotics, therapeutic exercises, and family education. Families, though initially unfamiliar with the medical terrain, develop confident navigational capacity as care progresses. Within this framework, condition-specific therapeutic principles are reviewed across a range of congenital hand differences, with emphasis on preoperative assessment, postoperative rehabilitation, orthotic fabrication, and outcome measurement across developmental stages.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"261-270"},"PeriodicalIF":1.4,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radial Longitudinal Deficiency. 径向纵向缺陷。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-07-03 eCollection Date: 2026-08-01 DOI: 10.1055/a-2880-1135
Kala T Pham, Julian J Gonzales, Arren E Simpson, Bryce R Bell
{"title":"Radial Longitudinal Deficiency.","authors":"Kala T Pham, Julian J Gonzales, Arren E Simpson, Bryce R Bell","doi":"10.1055/a-2880-1135","DOIUrl":"https://doi.org/10.1055/a-2880-1135","url":null,"abstract":"<p><p>Radial longitudinal deficiency (RLD) is the most common congenital longitudinal deficiency of the upper limb. Established principles of reconstruction dictate a staged approach to address the primary components of the deformity: radial wrist deviation and/or thumb deficiency. Severe RLD remains one of the most challenging conditions to manage, and no technique has yet achieved reliably durable correction. The goals of surgery are to create a stable carpal platform, achieve tension-free correction of soft tissue contractures, and restore a functional pinch mechanism. Surgical options for wrist stabilization may include soft tissue rearrangement and tendon transfer, centralization, free fibula flap, and radialization/ulnarization. Recently, adjunctive techniques such as soft tissue distraction and ulnar cuff osteotomy have been employed to facilitate correction and may benefit ulnar growth. Special considerations are described for thumb hypoplasia and limb length discrepancy. Outcomes are generally favorable for functional use, although long-term objective results remain suboptimal relative to normal function, and recurrence of angular deformity remains a significant challenge, underscoring the need for continued research. In this chapter, we outline the etiology, classification, surgical management, and outcomes of RLD.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"229-236"},"PeriodicalIF":1.4,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital Digit Deformities: Camptodactyly, Clinodactyly, Brachydactyly, Macrodactyly, and Symphalangism. 先天性手指畸形：喜指畸形、斜指畸形、短指畸形、大指畸形和拇趾畸形。
IF 1.4 3区 医学
Seminars in Plastic Surgery Pub Date : 2026-06-11 eCollection Date: 2026-08-01 DOI: 10.1055/a-2880-1112
Benjamin D W Belfort, Nicole L Wire, Mariana Trevino, Andrea C Tian
{"title":"Congenital Digit Deformities: Camptodactyly, Clinodactyly, Brachydactyly, Macrodactyly, and Symphalangism.","authors":"Benjamin D W Belfort, Nicole L Wire, Mariana Trevino, Andrea C Tian","doi":"10.1055/a-2880-1112","DOIUrl":"https://doi.org/10.1055/a-2880-1112","url":null,"abstract":"<p><p>Congenital deformities of the digits can greatly impact hand function, aesthetics, and psychosocial well-being. Given the hand's crucial role in fine motor activity and social interaction, even subtle abnormalities can prompt clinical evaluation. This chapter provides a comprehensive overview of five congenital digit deformities (camptodactyly, clinodactyly, brachydactyly, macrodactyly, and symphalangism), with emphasis on their clinical presentation, underlying etiologies, diagnostic evaluation, and management strategies.</p>","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":"40 3","pages":"244-252"},"PeriodicalIF":1.4,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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